Standard for documentation of the post-take ward round
| Step | Documented element |
| 1 | Named consultant |
| 2 | Presenting complaint |
| 3 | Medical history |
| 4 | Social history |
| 5 | National Early Warning Score |
| 6 | Examination findings |
| 7 | Relevant investigations |
| 8 | Medication review |
| 9 | Working diagnosis |
| 10 | Plan |
| 11 | Frailty score |
| 12 | Potential discharge date |
| 13 | Escalation plan |
| 14 | Venous thromboembolism prophylaxis plan |